11
Timeline of Interventions
2013
•Creation of hospital policy to address insertion, maintenance, indications for use, and nurse-driven protocol for
removal of unnecessary catheters
•EMR documentation section added in iView for nursing to document daily assessment of need for urinary catheter
2014
•Infection prevention begins monthly audit and feedback of urinary catheter daily assessment of need compliance
2015
•EMR documentation in iView revised for Nursing documentation - new drop-down fields for urinary catheter
necessity criteria
•Reference hyperlink added into iView for end-users to review policy indications for appropriate criteria
2016
•EMR order set created for providers – must enter order for catheter, include indication for need, order for
continuation of catheter after 72-hour removal
•EMR generated automatic order for nurses to discontinue urinary catheter 72 hours after insertion
2017
•Urine test stewardship beings in adult ICUs (assisted with Enterprise Analytic report)
•ICU Panculture Power Orders adjusted to remove UA with reflex as preselected item
•Updated intermittent catheterization algorithm hyperlinked into iView
2018
•EMR decision support for urine culture testing to align practice with IDSA/SCCM guidelines
•Care Compass task to fire to remind nurses to remove urinary catheter at 72-hour mark